• Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE SUPERVISOR I ... comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working… more
    The County of Los Angeles (08/18/25)
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  • Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem ... Registered Nurse II/III - Utilization Management VCMC Salary $109,727.64 - $184,627.89 Annually Location...as needed to assist with patient care coordination and utilization review. The incumbent will be responsible to assist… more
    Ventura County (08/10/25)
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  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 + ... **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic… more
    Alameda Health System (08/08/25)
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  • Utilization Review Nurse Supervisor II

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
    The County of Los Angeles (06/28/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Services As Needed / Per ... #:42003-31126 + FTE:0.01 + Posted:August 21, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible for… more
    Alameda Health System (08/22/25)
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  • Utilization Review Tech II

    Prime Healthcare (Ontario, CA)
    …is actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review ... and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry, mailing/faxing… more
    Prime Healthcare (08/23/25)
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  • Supervisor, Utilization Management RN

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
    LA Care Health Plan (07/08/25)
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  • LVN - Utilization Management - SRS…

    Sharp HealthCare (San Diego, CA)
    …days** **of in-person training.** **What You Will Do** To provide comprehensive utilization management and coordination of care for SRS Members. Ensure timely and ... experience as an LVN in a hospital or clinical setting. + 2 Years utilization /Case Management experience, preferably in a Managed Care setting. + Experience as a… more
    Sharp HealthCare (08/29/25)
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  • Utilization Review, Management Physician…

    Sutter Health (Sacramento, CA)
    …meeting the organization's goals and objectives for ensuring the effective, efficient utilization of health care services. The PA will develop expertise on matters ... regarding physician practice patterns, over- and under- utilization of resources, medical necessity, documentation best practices, level of care progression, denial… more
    Sutter Health (08/28/25)
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  • Utilization Review Technician III

    Prime Healthcare (Ontario, CA)
    …is actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review ... plans and scan all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while working closely with… more
    Prime Healthcare (08/23/25)
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